| NPI | 1265712970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 0013091) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 6995886) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-11-14 |